Provider Demographics
NPI:1437998952
Name:R & L GARZA RESIDENTIAL CARE HOME
Entity type:Organization
Organization Name:R & L GARZA RESIDENTIAL CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEONOR
Authorized Official - Middle Name:RIVAS
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-538-8657
Mailing Address - Street 1:265 COUNTY ROAD 6611
Mailing Address - Street 2:
Mailing Address - City:DEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:78016-4696
Mailing Address - Country:US
Mailing Address - Phone:830-665-2559
Mailing Address - Fax:
Practice Address - Street 1:265 COUNTY ROAD 6611
Practice Address - Street 2:
Practice Address - City:DEVINE
Practice Address - State:TX
Practice Address - Zip Code:78016-4696
Practice Address - Country:US
Practice Address - Phone:830-665-2559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility